Rehabilitation | Sports Specialist Rehab Centre

Mar 27 0

Virtual Appointments now available!

Posted by ssrcadmin

We would like to announce that as of today, patients can book virtual appointments online with their Chiropractor, Fascial Stretch Therapist and Physiotherapist! Virtual appointments with your therapist can be used to guide home self-care management of pain, lifestyle recommendations, anxiety relief and rehabilitation activities. The virtual appointment option is particularly useful for certain members of the population who are at greater risk to COVID-19. Keep yourself motivated and on track while at home by booking your virtual appointment today.

Feb 05 Comments Off

Frozen Shoulder

Posted by ssrcadmin

What do you mean my shoulder is frozen?

Adhesive capsulitis, often referred to as ‘Frozen Shoulder’, is a condition in which the capsule surrounding the shoulder joint becomes inflamed and movement is significantly reduced. The key sign in frozen shoulder is that both active and passive ranges of motion are equally limited.

Unfortunately, right now, researches aren’t entirely sure why this condition occurs in people. It is understood to be a self-limited condition, with most people recovering within a 2- to 3-year period. However, some studies have shown that there can be residual effects up to 10 years later in 20-50% of people afflicted. It has been found to be more prevalent in middle aged adults. Increased prevalence has also been found in people with diabetes, thyroid conditions, previous shoulder injuries and those who have had previous surgical procedures.

Frozen shoulder is typically broken down into 3 phases:

PHASE I – FREEZING/PAINFUL

This phase typically last 3-9 months and is described as an acute synovitis (aka inflammation of the capsule) of the shoulder joint. The condition is often missed at this point because people think that it is just a typical shoulder concern that they can handle themselves. It’s not until the reduction in range of motion and pain continues to progress do they tend to seek care. This phase tends to be the most painful and can be quite debilitating. If caught at this phase, literature suggests that intra-articular steroid injections plus manual and active therapy are most helpful in reducing pain and limiting the amount of range of motion lost. In this phase, it is best to stay within a relatively pain-free range of motion so as not to increase the inflammation in the joint; this is not to say range of motion exercises are not necessary but avoiding significantly aggravating movements is an important aspect of this phase of treatment.

PHASE II – FROZEN

This phase may last between 4 and 12 months. External rotation tends to be the most limited range of motion in this phase; flexion and internal rotation tend to be the next few ranges that are limited due to adhesive capsulitis. In the frozen stage, there isn’t necessarily a worsening of symptoms but the range of motion stays limited and eventually the patient will be pain-free at the end of their range. In this phase, evidence recommends more aggressive manual therapies, joint mobilizations and other modalities (e.g. acupuncture, TENS) to improve range of motion and decrease pain.

PHASE III – THAWING

This phase can last anywhere from 12 to 42 months. This is the phase where the patient’s range of motion starts to return back to normal. Literature suggests some people will have some residual stiffness and limitations 5-10 years after diagnosis of the condition.

Conservative care is the first line of treatment. Should symptoms persist and no changes made over the course of 6 months to 1 year, other more aggressive interventions might be considered by your medical doctor. Some examples are manipulation under anesthesia and/or surgical release of the capsule. This form of intervention is rare as most cases resolve on their own and resolve quicker with conservative therapies.

Author: Dr. Allie Dennis

Resource:

Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Current Reviews in Musculoskeletal Medicine. 2008;1(3-4):180-189. doi:10.1007/s12178-008-9031-6.

Burbank K, Stevenson J, Czarnecki G, Dorfman J. Chronic Shoulder Pain: Part II. Treatment. Am Fam Physician. 2008;77(4):493-497.

DynaMed [Internet]. Ipswich (MA): EBSCO Information Services. 1995 – .Record No. 113935, Adhesive capsulitis of shoulder; [updated 2015 Mar 27; cited 2015 Jun 16]. Available from http://web.a.ebscohost.com/dynamed/detail?vid=3&sid=9807b87f-2e5c-4a75-9521-c3a82edf9a28%40sessionmgr4001&hid=4209&bdata=JnNpdGU9ZHluYW1lZC1saXZlJnNjb3BlPXNpdGU%3d#db=dme&AN=113935. Registration and login required.

Jan 09 0

Are you cracking my bones?

Posted by ssrcadmin

What is that popping sound during a chiropractic adjustment?

Chiropractors get this question all the time… what’s that sound? Are you cracking my bones?

First of all – NO – we’re not cracking your bones! Here’s an explanation of that “pop” or “crack” you might hear with a chiropractic adjustment. The more technical term for this noise is a cavitation.

To start off, I need to give a small anatomy lesson. Many joints in your body, especially the ones targeted by the chiropractic adjustment, are considered synovial joints. This means there is a capsule of connective tissue surrounding the joint and synovial fluid inside to help lubricate the joint.

http://chemistry.bd.psu.edu/jircitano/gases.html

Now we have to think back to high school science class and remember Boyle’s Law which states that the volume of a given amount of gas held at constant temperature varies inversely with the applied pressure when the temperature and mass are constant. In other words, when volume goes up, pressure goes down. You might remember that in some cases, liquid is just a compressed version of a gas. Lots of pressure can change the state of matter from a gas into a liquid. Alternately, if you reduce that pressure by increasing the volume of the space the liquid is being held, the liquid can change into a gas.

That is the basics of what is going on during an adjustment. Many would say that the goal of a chiropractic adjustment is to gap the joints to increase movement in a hypomobile joint (i.e. a joint that isn’t moving as well as we would like it to). With the high-velocity, low-amplitude manipulation, the gapping of the joint creates an increase in the volume of the joint capsule, which in turn reduces the pressure and allows some of that synovial fluid to change states from a liquid into a gas.

THAT is your noise – the change in state from liquid to gas. The formation of this gas bubble in the synovial joint can cause a “pop” or “crack” sound.

Dr. Greg Kawchuk and his colleagues recently did a study where they used an MRI to visualize a joint cavitation in real time. Below is a short video of their findings:

Kawchuk GN, Fryer J, Jaremko JL, Zeng H, Rowe L, Thompson R (2015) Real-Time Visualization of Joint Cavitation. PLoS ONE 10(4): e0119470. doi:10.1371/journal.pone.0119470

Now you can teach all of your friends about the science the next time they cringe when you crack your knuckles…

Author: Dr. Allie Dennis, B.Sc. Kin (Hons.), D.C., FRCms
Chiropractor | Acupuncture Provider | Functional Range Conditioning Mobility Specialist

Nov 02 0

We’ve Been Nominated!

Posted by ssrcadmin

Sports Specialist Rehab Centre is proud to announce that we are an Official 2020 Top Choice Award Nominee! Thank you to all of those who have taken the time to nominate us! Now, we need your help to WIN! Voting is now open and if you feel that we have earned your vote, we would appreciate you taking the time to vote for us. Winning the Top Choice Award is one of the largest endorsements a business can receive within North America & Europe, so this is a BIG deal!

Show us some love by voting for us. Your vote will automatically enter you into a draw for a chance to win a grand cash prize of $2000 or one of many Toppy T-shirts. You can vote for us here: topchoiceawards.com/vote?survey_id=k82Yzj – Otherwise, you can contact Top Choice Awards via email or phone to vote for us.

‍Voting ends December 20th, 2019.

‍We would love to win the Top Choice Award… But we need your help to do so. If you believe we are your Top Choice, why not help us spread the word!Thank you for your time and we appreciate your vote!

P.S your written feedback in the survey is anonymous but very important to us, as it allows us to know what you love about us and what we can improve to continue serving you every day and providing the best customer experience possible. Many thanks in advance!

Jun 22 Comments Off

Join Marco at APHA Expo!

Posted by ssrcadmin

Dear Colleagues,

Join me at the American Public Health Association’s 2019 Annual Meeting & Expo where the scientific research I co-authored will be presented. The APHA Annual Meeting is the premier public health event taking place Nov. 2-6 in Philadelphia, PA. With more than 1,000 cutting edge scientific sessions, 600 booths of information and state-of-the-art public health products and services, this is an extremely important meeting in the public health field.

My submission, titled “Application and effectiveness of educational programming in musculoskeletal evaluation and management led by chiropractors in a rural Ugandan population” is scheduled to be presented at session , “Public health & chiropractic “, at . View the session online for more details.

For general information about APHA2019 or to find out about other sessions and presentations visit the Annual Meeting home page.

I hope you can attend my presentation and join the public health community and APHA in exploring the latest public health practices and challenges.

Sincerely,

Marco De Ciantis

May 03 0

Feeling Pain, Tingling or Numbness in the Buttocks?

Posted by ssrcadmin

If you’ve been feeling a dull ache in the buttocks, pain down the back of the thigh, calf & foot (sciatica), discomfort going up and down stairs, increased pain after long periods of sitting, or reduced range of motion of the hip joint, chances are you may be suffering from Piriformis syndrome.

The exact causes of Piriformis syndrome are unknown. Suspected causes include:

Muscle spasm in the Piriformis muscle, caused by irritation in the Piriformis muscle itself, or irritation of a nearby structure such as the SI joint or hip
Tightening of the muscle, in response to injury or spasm
Swelling of the Piriformis muscle, due to injury or spasm
Repetitive movement such as driving which causes the muscle to tighten

Treatment options for this condition include:

Massage Therapy
Utilizing the benefits of Massage Therapy a Massage Therapist can loosen up the tight ligaments, muscle, and connective tissue surrounding or attaching to the SI joint, Low Back and Hip helping with increased mobility and decrease in pain. A Massage Therapist can give you corrective exercises that can help strengthen and stretch the muscles surrounding the SI joint that can assist in the Hypermobility or Hypomobility. Lastly, using low-grade mobilizations we can help control pain as well as increase mobility.

Benefits of massage therapy include:

Address the cause of the pain and create a successful treatment plan
Decrease pain and stress placed on the joint
Increased joint mobility
Decrease fixation
Improve instability
Address compensation
Decrease tight muscles, connective tissue and ligaments
Decrease edema (swelling)

Chiropractic
Utilizing the benefits of Chiropractic a Chiropractor can reduce pain by utilizing electrical equipment such as IFC and TENS, reduce joint fixation (via mobilizations and manipulation), reduce muscle tension via muscle release therapy and via acupuncture. Stretching, strengthening and rehabilitation protocols can also reduce pain and minimize the likelihood and intensity of future possible events.
A thorough assessment must be done by a health care provider to determine the cause of your pain. Come visit us at the clinic so we can diagnose you, determine exactly where your pain is coming from, and develop a treatment plan to fix it.

Contributed by clinic Registered Massage Therapist Bram van Bommel.

May 03 0

Pain in the Hip, Back and Down Your Leg?

Posted by ssrcadmin

If you’re suffering from pain getting in and out of the car, when you’re rolling over in bed, getting out of a chair or feel a discomfort in the buttocks or back of the leg, chances are you’re a candidate for suffering from sacroiliac dysfunction.

The Sacroiliac (SI) joint is formed by the last part of the spine L5 vertebrae, Sacrum and the Ilium. The joint consists of a narrow, cartilage-filled space between the sacrum and ilium, which are attached by strong ligaments. There is not much motion in the SI joint (4 degrees of rotational movement is normal) however, it is a major weight bearing joint and therefore is prone to dysfunction and pain.

The exact cause of SI joint dysfunction is not clear. However, it is thought that with a change in normal joint function may be the cause of sacroiliac pain. The source of pain can be caused by either:

Hypermobility (too much movement): The pain is usually felt in the low back and/or hip and may refer into the groin area

Hypomobility (too little movement): The pain is typically felt on one side of the low back or buttocks and can refer down the leg. The pain usually remains above the knee but sometimes can extend to the ankle or foot. The pain is similar to sciatica or pain that radiates down he sciatic nerve.

If you have SIJ pain, or you you have SIJ pain, the best thing is to give us a visit here at the clinic so we can diagnose you, determine exactly where your pain is coming from, and develop a treatment plan to fix it.

In the meantime, to promote proper joint function and prevent pain, work on perfecting your posture stability of both the hip and the core, with an emphasis on hip mobility.

Contributed by clinic Registered Massage Therapist Bram van Bommel.

Oct 11 0

Anatomy of a Squat – Part 3: Fixing Hip Restriction

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We’re excited to share our first three-part series on the blog! There are so many seemingly simple, yet quite complex, our amazing bodies can do. Our team will dive into repetitive motions that you’re doing on the daily to share the why and the how so you can move in a biomechanically sound manner and strengthen your body.

Our first series, the Anatomy of the Squat, is courtesy of Bram van Bommel, our resident Registered Massage Therapist. Check out his third and final post in this squat series on the blog!

Dec 01 0

Anatomy of a Squat – Part 2: The Roll of the Hip in a Squat

Posted by ssrcadmin

We’re excited to share our first three-part series on the blog! There are so many seemingly simple, yet quite complex, our amazing bodies can do. Our team will dive into repetitive motions that you’re doing on the daily to share the why and the how so you can move in a biomechanically sound manner and strengthen your body.

Our first series, the Anatomy of the Squat, is courtesy of Bram van Bommel, our resident Registered Massage Therapist. Check out his second post in the series!

Dec 01 0

Anatomy of a Squat – Part 1: Why the Squat is an Important Functional Screening Test

Posted by ssrcadmin

We’re excited to share our first three-part series on the blog! There are so many seemingly simple, yet quite complex, our amazing bodies can do. Our team will dive into repetitive motions that you’re doing on the daily to share the why and the how so you can move in a biomechanically sound manner and strengthen your body.

Our first series, the Anatomy of the Squat, is courtesy of Bram van Bommel, our resident Registered Massage Therapist. Check out his first post on the blog!

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